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We start with a detailed assessment of your current revenue cycle processes to identify areas for improvement and opportunities for revenue growth.
Based on our assessment, we develop a customized RCM strategy that addresses your specific needs and challenges, ensuring a smooth and efficient workflow.
Our team works closely with your practice to implement the RCM strategy, providing training and support to ensure a seamless transition with minimal disruption.
We continuously monitor and refine your RCM processes, making adjustments as needed to ensure sustained financial performance and growth.
1. Patient Registration & Insurance Verification
We ensure accurate patient data collection and verify insurance coverage before services are rendered, reducing claim denials and ensuring smooth billing.
2. Medical Coding & Charge Capture
Our certified coders accurately translate medical procedures and diagnoses into standardized codes, ensuring that all billable services are captured and coded correctly to prevent revenue leakage.
3. Claims Submission & Management
We handle the submission of claims to insurance companies, ensuring timely and accurate processing. Our proactive follow-up process ensures that any issues are quickly resolved, leading to faster reimbursements.
4. Payment Posting & Reconciliation
All payments received are posted to your accounts with precision, and we reconcile payments to ensure that your records are accurate and up-to-date.
5. Denial Management & Appeals
We actively monitor denied claims, investigate the reasons for denial, and work on resubmitting and appealing claims to ensure your practice recovers the maximum revenue possible.
6. Patient Billing & Collections
Our patient billing services ensure clear, accurate, and timely statements are sent to patients. We also manage collections, working with patients to resolve outstanding balances while maintaining positive patient relationships.
7. Financial Reporting & Analytics
Gain comprehensive insights into your practice’s financial performance with our detailed reports. We provide analysis on key metrics, helping you make informed decisions to optimize revenue and reduce costs.
Ready to take control of your practice’s revenue cycle? Contact us today to learn more about how our RCM services can benefit your practice. Let Caddison handle the complexities of your revenue cycle, so you can focus on caring patients.
“Ready to Prepare Your Healthcare Practice for a Medical Billing Audit? Secure a Comprehensive Medical Billing Audit for Your Medical Practice Today.”